Exercise-responsive microRNA networks and extracellular vesicle-mediated microRNA signaling in breast cancer: linking tumor signaling, systemic crosstalk, and clinical relevance.

Breast cancer is increasingly recognized as a systemic disease shaped by dynamic interactions between tumor-intrinsic signaling and host physiology. MicroRNAs (miRNAs), as post-transcriptional regulators, extend beyond canonical gene silencing to coordinate oncogenic pathways, tumor microenvironment remodeling, and inter-organ communication. In parallel, exercise has emerged as a systemic modulator capable of influencing immune, metabolic, and circulatory processes relevant to tumor progression. …

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Efficacy of an exercise oncology program on sleep quality and circadian rhythm in head and neck cancer patients undergoing chemo-radiation therapy: a randomized controlled trial.

BACKGROUND: Head and neck cancer (HNC) presents a significant challenge in oncology. It has high prevalence rates, especially in India, where 30-40% of cancer cases are attributed to HNC. While chemotherapy and radiation therapy are essential components of treatment, they often lead to significant sleep disturbances that negatively impact patients’ quality of life and the effectiveness of their treatment. These …

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Effectiveness of a Home-Based and Group-Based Tele-Exercise Program for Breast Cancer Survivors: Pilot Randomized Controlled Trial.

BACKGROUND: Breast cancer remains the most prevalent cancer among women globally. Adjuvant therapies can cause adverse effects that compromise physical and mental health. Exercise may mitigate these effects; however, many breast cancer survivors remain insufficiently active. OBJECTIVE: This pilot study aimed to test the effectiveness of a 7-week theory-informed tele-exercise intervention for breast cancer survivors in Hong Kong. METHODS: We …

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Telerehabilitation for Pain, Function, and Quality of Life in Patients with Cancer: A Systematic Review.

INTRODUCTION: Cancer rehabilitation improves function, quality of life, and symptom control, yet access to specialized programs is limited by geographic, financial, and systemic barriers. Telerehabilitation has emerged as a scalable alternative; however, its effectiveness across cancer types and intervention modalities remains heterogeneous. METHODS: We conducted a systematic review of randomized clinical trials (RCTs) and nonrandomized comparative studies evaluating telerehabilitation in …

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Associations between preoperative weight and body composition changes and surgical outcomes in patients with obesity and gastrointestinal cancer: a protocol for a prospective observational study in the active together cancer prehabilitation service.

INTRODUCTION: The impact of preoperative weight loss and body composition changes on surgical and patient-reported outcomes remains unclear in gastrointestinal cancer patients. Prehabilitation programmes integrating exercise, nutrition and psychological support can improve surgical readiness and recovery but the role of body mass and composition changes within such services is not well understood. This study aims to investigate the associations between …

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Practices, issues and possibilities at the interface between geriatrics and palliative care (InGaP): A case study exemplifying knotworking.

INTRODUCTION: With the recognition of the need for palliative care for people with non-malignant conditions, there is an increasing emphasis on interdisciplinary working between geriatric and palliative care teams. This interdisciplinary work has evolved organically; more needs to be known about current working practices. This is of policy and clinical interest as the older patient population continues to grow. METHODS: …

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Perceived exertion for guiding and monitoring exercise intensity in unsupervised, home-based cancer rehabilitation: an analysis of 3533 exercise sessions.

BACKGROUND: Exercise therapy is an essential part of cancer rehabilitation. Home-based, unsupervised exercise programs supported by digital tools offer a promising way to reduce access barriers. However, guiding and monitoring exercise intensity without supervision remains difficult. Rating of perceived exertion (RPE) is often used for this purpose, but its validity in unsupervised, home-based settings has not been systematically examined. In …

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Stress, inflammation, and resilience among patients with oral squamous cell carcinoma undergoing multimodal therapy: Current knowledge and future directions.

Oral squamous cell carcinoma represents a significant public health challenge in Asia, where multimodal therapies, while extending survival, impose substantial biologic and psychosocial stress. Sustained activation of the sympathetic-adrenal-medullary axis and dysregulation of the hypothalamic-pituitary-adrenal axis increase catecholamines, cortisol, interleukin-6, and C-reactive protein, accelerating tumor progression, impairing treatment tolerance, and increasing cardiovascular risk. Betel quid chewing, prevalent in the region, …

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A Scoping Review on Exercise Interventions During Adjuvant Chemotherapy or Radiotherapy for Cancer.

Cancer is one of the most common causes of death worldwide. Surgery, chemotherapy, and radiotherapy remain the first line of treatment for many different types of cancer. The diagnosis of cancer and its treatment lead to many physical and psychological symptoms. Several types of exercise interventions are available to help alleviate these symptoms. However, there is very little evidence available …

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Digital exercise interventions to improve physical functioning of people with breast cancer: Protocol for a scoping review.

INTRODUCTION: Breast cancer incidence rates are rising due to early detection, improved screening methods and advances in treatment options. As mortality rates reduce, there is a growing population living longer with treatment side-effects who require assistance. Prevalent issues arising after breast cancer treatment include pain, fatigue, lymphoedema and arm and shoulder mobility issues. Evidence demonstrates that upper limb exercises help …

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